经口内镜下环形肌切开术治疗贲门失弛缓症11例.PDFVIP

20 12 16 19 ·58 · Journal of Clinical Medicine in Practice 11 1 1 1 1 1 2 焦　胜, 成宏伟 , 马志兰, 唐　娟 , 陈苏阳, 周平红 (1. , , 225400; 2. , , 200032) 　　　:　(POEM)(AC )。　 2011 9 —2012 5 11 AC POEM 。、、 。POEM :;“”;; 。　11 , 1 , 2 , 2 , 1 。 3 。: 1 、3 、2 、 3 。 1 , 、, 1 。　POEM , 。 :;; :R 571　　:A　　:1672-2353 (2012)19-0058-03 Peroral endoscopic myotomy for patientswith cardiochalasia 1 1 1 1 JIAO Sheng , CHENG Hongwei , MA hilan , TANG Juan , 1 2 CHEN Suyang , HOU Pinghong (1.Ta ix ing Peop le′s Hosp ital, T aix ing, J iangsu, 225400; 2.Zhongshan Hosp ita l Af f ilia ted to F udan University , S hang ha i, 200032) 　　ABSTRACT:Objective　To investigate the clinical efficienc and feasibilit of peroral endo- scopic m otom (POEM )for patients w ith cardiochalasia(AC ).Methods　The clinical data of 11 AC patients w ho underw ent POEM from September 2011 to M a 20 12 were collected .Complica- tions during and after POEM and during follow -up w ere anal zed.POEM procedure for AC w as as follow s:Esophageal stratum mucosum w as dissected, submucosa was separated, a submucosal tun- nel w as created, the circular muscle la er was dissected under endoscop , and the mucous la er inci- sion w as finall closed b metal clip .Results　All patients w ere able to tolerate surger .Complica- tions during operation included bleeding in 1 case, mucosa rupture in 2 cases, subcutaneous and me- diastinal emph sema in 2 cases and pneumothorax in 1 case.Complicati